Displaying 230471-230480 of 1611142 results.
ID:
230471
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230472
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230473
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230474
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230475
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230476
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230477
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230478
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1013867
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230479
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230480
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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