Displaying 227811-227820 of 1611142 results.
ID:
227811
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227812
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227813
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227814
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227815
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227816
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227817
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373337
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227818
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227819
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
227820
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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