Displaying 228041-228050 of 1611142 results.
ID:
228041
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228042
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228043
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228044
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228045
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
228046
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
228047
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2288433
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
180
ID:
228048
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2288412
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228049
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
37
Qty Limit Days:
180
ID:
228050
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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