Displaying 227171-227180 of 1611142 results.
ID:
227171
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227172
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227173
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227174
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227175
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227176
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
227177
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
901541
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227178
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1114479
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227179
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
901534
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227180
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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