Displaying 225901-225910 of 1611142 results.
ID:
225901
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
225902
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225903
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225904
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225905
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225906
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225907
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225908
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225909
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309043
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225910
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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