Displaying 226581-226590 of 1611142 results.
ID:
226581
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226582
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226583
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226584
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226585
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226586
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226587
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
28
ID:
226588
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
226589
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226590
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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