Displaying 228491-228500 of 1611142 results.
ID:
228491
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228492
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228493
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228494
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228495
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
730834
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228496
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228497
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228498
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228499
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228500
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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