Displaying 229711-229720 of 1611142 results.
ID:
229711
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229712
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229713
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229714
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229715
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229716
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229717
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229718
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229719
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229720
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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