Displaying 225681-225690 of 1611142 results.
ID:
225681
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225682
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
225683
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
225684
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225685
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225686
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225687
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225688
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225689
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225690
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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