Displaying 226871-226880 of 1611142 results.
ID:
226871
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226872
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
226873
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
226874
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
226875
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977939
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226876
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226877
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226878
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226879
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226880
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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