Displaying 228441-228450 of 1611142 results.
ID:
228441
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228442
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
730781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228443
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228444
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228445
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228446
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1743549
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228447
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228448
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228449
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228450
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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