Displaying 231361-231370 of 1611142 results.
ID:
231361
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231362
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231363
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231364
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231365
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231366
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1370767
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231367
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231368
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231369
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231370
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1370770
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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