Displaying 227111-227120 of 1611142 results.
ID:
227111
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
227112
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227113
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227114
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227115
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227116
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227117
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227118
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227119
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227120
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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