Displaying 230851-230860 of 1611142 results.
ID:
230851
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1114479
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230852
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
901534
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230853
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230854
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230855
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230856
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230857
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230858
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230859
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
858116
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230860
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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