Displaying 229631-229640 of 1611142 results.
ID:
229631
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229632
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229633
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229634
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229635
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229636
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229637
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229638
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229639
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
229640
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
899511
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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