Displaying 231141-231150 of 1611142 results.
ID:
231141
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231142
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231143
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231144
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
403969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231145
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
403972
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231146
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
403970
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231147
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
403971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231148
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231149
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231150
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1251903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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