Displaying 227351-227360 of 1611142 results.
ID:
227351
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227352
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227353
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227354
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227355
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227356
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
227357
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1992273
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
227358
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227359
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227360
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1540241
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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