Displaying 226811-226820 of 1611142 results.
ID:
226811
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226812
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226813
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226814
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226815
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226816
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226817
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226818
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226819
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226820
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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