Displaying 227541-227550 of 1611142 results.
ID:
227541
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
ID:
227542
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227543
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227544
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
578018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227545
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227546
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227547
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227548
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227549
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227550
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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