Displaying 230791-230800 of 1611142 results.
ID:
230791
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230792
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230793
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230794
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230795
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230796
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230797
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230798
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230799
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230800
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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