Displaying 226921-226930 of 1611142 results.
ID:
226921
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226922
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
226923
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226924
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226925
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
212438
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226926
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
797697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
226927
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
212437
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226928
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1043753
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226929
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226930
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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