Displaying 226821-226830 of 1611142 results.
ID:
226821
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226822
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1314768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
226823
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
211777
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226824
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226825
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226826
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226827
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226828
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226829
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226830
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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