Displaying 229931-229940 of 1611142 results.
ID:
229931
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
240637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229932
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
204466
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229933
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
207391
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229934
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
800420
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229935
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229936
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1090639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229937
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229938
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229939
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229940
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
801021
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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