Displaying 231511-231520 of 1611142 results.
ID:
231511
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
901546
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231512
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231513
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231514
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231515
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231516
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
799055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231517
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
799056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231518
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
799054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231519
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231520
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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