Displaying 227051-227060 of 1611142 results.
ID:
227051
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227052
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227053
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227054
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227055
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227056
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227057
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
227058
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227059
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227060
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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