Displaying 231611-231620 of 1611142 results.
ID:
231611
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
860516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231612
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
860522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231613
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
860532
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231614
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231615
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231616
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231617
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231618
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231619
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231620
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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