Displaying 229261-229270 of 1611142 results.
ID:
229261
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229262
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1797888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229263
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229264
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229265
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229266
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229267
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229268
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
882533
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229269
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229270
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
848330
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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