Displaying 227071-227080 of 1611142 results.
ID:
227071
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1535451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227072
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1535456
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227073
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1535472
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227074
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227075
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227076
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227077
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227078
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227079
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227080
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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