Displaying 227191-227200 of 1611142 results.
ID:
227191
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227192
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227193
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227194
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227195
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227196
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227197
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227198
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227199
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227200
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
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