Displaying 227091-227100 of 1611142 results.
ID:
227091
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227092
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200193
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
227093
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200194
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
227094
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227095
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
227096
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
227097
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227098
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227099
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373016
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227100
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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