Displaying 226161-226170 of 1611142 results.
ID:
226161
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
892355
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226162
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
892297
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
226163
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
894942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226164
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
894970
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226165
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226166
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226167
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226168
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226169
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226170
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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