Displaying 227651-227660 of 1611142 results.
ID:
227651
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227652
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
227653
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227654
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
227655
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227656
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227657
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227658
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227659
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227660
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
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