Displaying 225831-225840 of 1611142 results.
ID:
225831
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225832
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
225833
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225834
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225835
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225836
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
225837
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
225838
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
225839
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
225840
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
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