Displaying 226261-226270 of 1611142 results.
ID:
226261
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
800420
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226262
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226263
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1090639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226264
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226265
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226266
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226267
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
801021
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226268
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226269
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226270
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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