Displaying 227061-227070 of 1611142 results.
ID:
227061
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
754512
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227062
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227063
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
750839
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227064
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227065
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
206075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227066
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
206078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227067
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1426251
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227068
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1425339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227069
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1426253
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227070
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1425337
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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