Displaying 226391-226400 of 1611142 results.
ID:
226391
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226392
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226393
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226394
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226395
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
226396
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1603495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
226397
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1603498
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
226398
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226399
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226400
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2110516
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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