Displaying 227731-227740 of 1611142 results.
ID:
227731
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2122343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227732
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227733
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227734
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1653433
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227735
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227736
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227737
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227738
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
227739
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
227740
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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