Displaying 226131-226140 of 1611142 results.
ID:
226131
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226132
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226133
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226134
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226135
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226136
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
226137
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
226138
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226139
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226140
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966524
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
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