Displaying 227431-227440 of 1611142 results.
ID:
227431
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
727386
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
227432
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227433
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102784
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
227434
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227435
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227436
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227437
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227438
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227439
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227440
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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