Displaying 227941-227950 of 1611142 results.
ID:
227941
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227942
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227943
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227944
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227945
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227946
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227947
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227948
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
227949
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
227950
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
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