Displaying 226141-226150 of 1611142 results.
ID:
226141
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966529
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
226142
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
998426
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226143
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226144
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1098608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226145
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226146
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226147
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226148
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
226149
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226150
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312134
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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