Displaying 226831-226840 of 1611142 results.
ID:
226831
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226832
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1370748
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226833
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966820
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226834
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226835
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226836
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226837
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226838
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226839
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
901550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226840
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
901555
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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