Displaying 229011-229020 of 1611142 results.
ID:
229011
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229012
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229013
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229014
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229015
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229016
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229017
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229018
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373008
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229019
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229020
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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