Displaying 226121-226130 of 1611142 results.
ID:
226121
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226122
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226123
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226124
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226125
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226126
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226127
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226128
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226129
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226130
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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