Displaying 227951-227960 of 1611142 results.
ID:
227951
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
227952
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
227953
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
227954
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
227955
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
227956
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
227957
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
227958
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227959
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1928689
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
227960
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2118741
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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