Displaying 228381-228390 of 1611142 results.
ID:
228381
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228382
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228383
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228384
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228385
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228386
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228387
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228388
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228389
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228390
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1092360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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