Displaying 226151-226160 of 1611142 results.
ID:
226151
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198059
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226152
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226153
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226154
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226155
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226156
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226157
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
903873
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226158
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
903879
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226159
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
892342
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226160
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
892349
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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