Displaying 227491-227500 of 1611142 results.
ID:
227491
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227492
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227493
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227494
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227495
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227496
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227497
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1146690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227498
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227499
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227500
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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