Displaying 227601-227610 of 1611142 results.
ID:
227601
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227602
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227603
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227604
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227605
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227606
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227607
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227608
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227609
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
227610
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
30
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