Displaying 226361-226370 of 1611142 results.
ID:
226361
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
208327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226362
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226363
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226364
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226365
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226366
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226367
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
404058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226368
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
404061
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226369
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
404064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226370
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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