Displaying 226741-226750 of 1611142 results.
ID:
226741
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226742
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226743
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226744
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226745
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226746
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
757968
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
30
ID:
226747
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226748
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226749
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226750
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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