Displaying 229161-229170 of 1611142 results.
ID:
229161
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229162
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
242754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229163
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229164
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229165
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229166
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229167
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229168
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229169
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229170
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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