Displaying 227611-227620 of 1611142 results.
ID:
227611
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
227612
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899660
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227613
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899521
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227614
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227615
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899607
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227616
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899642
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227617
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
899705
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227618
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227619
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227620
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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