Displaying 227641-227650 of 1611142 results.
ID:
227641
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
227642
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
227643
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
227644
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
227645
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
227646
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1286
Qty Limit Days:
30
ID:
227647
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227648
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
227649
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
227650
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
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