Displaying 226201-226210 of 1611142 results.
ID:
226201
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
207273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226202
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191267
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226203
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226204
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226205
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226206
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226207
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226208
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226209
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226210
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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