Displaying 227121-227130 of 1611142 results.
ID:
227121
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227122
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227123
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227124
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227125
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227126
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227127
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227128
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227129
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227130
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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