Displaying 225941-225950 of 1611142 results.
ID:
225941
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225942
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225943
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
800915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225944
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
225945
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
225946
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
225947
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225948
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225949
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225950
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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