Displaying 227881-227890 of 1611142 results.
ID:
227881
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
731245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227882
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1605172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227883
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227884
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227885
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227886
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227887
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205923
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227888
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
227889
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
727545
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227890
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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