Displaying 227631-227640 of 1611142 results.
ID:
227631
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227632
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
201185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227633
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227634
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227635
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
227636
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227637
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
227638
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
227639
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
227640
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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