Displaying 228431-228440 of 1611142 results.
ID:
228431
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228432
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
204509
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228433
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228434
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228435
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1722919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228436
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1722921
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228437
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228438
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228439
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228440
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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