Displaying 227041-227050 of 1611142 results.
ID:
227041
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227042
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227043
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227044
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
227045
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227046
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227047
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227048
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1312627
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227049
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227050
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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