Displaying 227331-227340 of 1611142 results.
ID:
227331
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227332
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
227333
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227334
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227335
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227336
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
227337
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227338
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227339
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227340
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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