Displaying 227921-227930 of 1611142 results.
ID:
227921
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227922
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
227923
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
227924
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
227925
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
227926
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
227927
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
227928
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
227929
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227930
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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