Displaying 226731-226740 of 1611142 results.
ID:
226731
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226732
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
226733
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
226734
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
226735
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226736
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
226737
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226738
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226739
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226740
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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