Displaying 231391-231400 of 1611142 results.
ID:
231391
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231392
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
835956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231393
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231394
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231395
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231396
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231397
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231398
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231399
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231400
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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