Displaying 229951-229960 of 1611142 results.
ID:
229951
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229952
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229953
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229954
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229955
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229956
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229957
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229958
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198297
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229959
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229960
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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