Displaying 227421-227430 of 1611142 results.
ID:
227421
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227422
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227423
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227424
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
227425
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
227426
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2001430
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227427
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227428
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227429
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227430
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
727347
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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