Displaying 228011-228020 of 1611142 results.
ID:
228011
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228012
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228013
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228014
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228015
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228016
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2274816
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228017
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2274814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228018
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2044355
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228019
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228020
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2044969
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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