Displaying 226031-226040 of 1611142 results.
ID:
226031
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226032
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226033
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226034
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226035
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226036
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226037
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226038
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226039
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226040
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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