Displaying 229641-229650 of 1611142 results.
ID:
229641
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229642
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1006608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229643
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229644
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229645
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229646
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229647
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229648
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229649
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229650
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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