Displaying 227891-227900 of 1611142 results.
ID:
227891
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205912
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227892
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
180
ID:
227893
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
212218
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227894
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649946
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227895
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649964
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227896
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227897
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227898
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227899
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227900
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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