Displaying 225891-225900 of 1611142 results.
ID:
225891
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225892
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225893
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225894
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225895
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225896
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225897
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225898
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225899
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225900
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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