Displaying 231871-231880 of 1611142 results.
ID:
231871
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231872
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231873
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231874
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
836307
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231875
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231876
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231877
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231878
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
966157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231879
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
966164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231880
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
966170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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