Displaying 227781-227790 of 1611142 results.
ID:
227781
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227782
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227783
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227784
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227785
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227786
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227787
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
318179
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227788
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227789
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
858778
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
227790
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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