Displaying 228111-228120 of 1611142 results.
ID:
228111
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228112
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228113
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228114
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228115
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228116
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228117
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228118
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228119
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228120
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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