Displaying 226341-226350 of 1611142 results.
ID:
226341
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
226342
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
226343
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
226344
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226345
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226346
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226347
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226348
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226349
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226350
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1606347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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