Displaying 226451-226460 of 1611142 results.
ID:
226451
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226452
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226453
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226454
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
180
ID:
226455
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226456
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226457
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226458
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226459
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226460
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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