Displaying 227481-227490 of 1611142 results.
ID:
227481
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227482
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227483
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227484
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227485
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227486
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227487
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227488
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227489
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227490
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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