Displaying 226421-226430 of 1611142 results.
ID:
226421
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226422
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226423
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226424
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226425
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226426
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226427
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226428
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
226429
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
226430
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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