Displaying 231171-231180 of 1611142 results.
ID:
231171
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231172
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231173
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231174
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231175
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231176
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231177
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231178
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231179
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231180
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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