Displaying 228021-228030 of 1611142 results.
ID:
228021
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2044967
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228022
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2044971
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228023
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1998774
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
228024
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1998772
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
30
ID:
228025
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
228026
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1876609
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228027
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228028
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228029
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228030
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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