Displaying 229861-229870 of 1611142 results.
ID:
229861
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229862
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229863
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229864
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229865
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229866
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1601982
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229867
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229868
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
244098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229869
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
245220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229870
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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