Displaying 228171-228180 of 1611142 results.
ID:
228171
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228172
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228173
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228174
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228175
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
485486
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228176
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
485485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228177
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
485484
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228178
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228179
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228180
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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