Displaying 227001-227010 of 1611142 results.
ID:
227001
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227002
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
884526
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227003
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
430
Qty Limit Days:
30
ID:
227004
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227005
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227006
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227007
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227008
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227009
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
227010
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
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