Displaying 227721-227730 of 1611142 results.
ID:
227721
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227722
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227723
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227724
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227725
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227726
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227727
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227728
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227729
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227730
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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