Displaying 229241-229250 of 1611142 results.
ID:
229241
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229242
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229243
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229244
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229245
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229246
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229247
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229248
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229249
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229250
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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