Displaying 230381-230390 of 1611142 results.
ID:
230381
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230382
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230383
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230384
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230385
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230386
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230387
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230388
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
562251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230389
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
617995
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230390
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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