Displaying 227671-227680 of 1611142 results.
ID:
227671
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
28
ID:
227672
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
227673
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227674
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
227675
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227676
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
722111
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227677
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
227678
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227679
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227680
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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