Displaying 226521-226530 of 1611142 results.
ID:
226521
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
226522
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226523
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226524
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226525
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226526
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226527
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226528
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226529
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226530
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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