Displaying 231041-231050 of 1611142 results.
ID:
231041
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231042
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231043
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231044
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231045
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231046
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231047
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231048
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231049
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231050
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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