Displaying 226431-226440 of 1611142 results.
ID:
226431
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
226432
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198243
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226433
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226434
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226435
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226436
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226437
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226438
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226439
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226440
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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