Displaying 228121-228130 of 1611142 results.
ID:
228121
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228122
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228123
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228124
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1596023
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228125
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228126
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228127
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228128
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228129
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228130
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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