Displaying 226461-226470 of 1611142 results.
ID:
226461
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226462
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226463
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226464
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226465
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226466
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226467
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226468
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226469
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226470
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
30
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