Displaying 227341-227350 of 1611142 results.
ID:
227341
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227342
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
37
Qty Limit Days:
30
ID:
227343
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
227344
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227345
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
227346
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
227347
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227348
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
895990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227349
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227350
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
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