Displaying 226511-226520 of 1611142 results.
ID:
226511
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226512
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226513
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226514
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226515
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226516
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
226517
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226518
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226519
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226520
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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