Displaying 226301-226310 of 1611142 results.
ID:
226301
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
226302
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
226303
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
226304
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226305
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226306
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226307
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226308
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226309
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226310
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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