Displaying 226901-226910 of 1611142 results.
ID:
226901
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226902
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226903
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226904
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226905
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226906
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226907
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226908
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
900164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226909
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
850091
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226910
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
850087
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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