Displaying 229301-229310 of 1611142 results.
ID:
229301
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229302
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229303
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229304
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229305
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229306
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229307
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1804746
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229308
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1804750
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229309
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
352228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229310
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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