Displaying 226851-226860 of 1611142 results.
ID:
226851
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226852
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226853
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226854
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226855
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226856
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226857
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226858
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226859
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226860
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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