Displaying 228191-228200 of 1611142 results.
ID:
228191
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228192
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228193
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228194
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1603501
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
228195
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228196
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228197
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228198
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228199
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228200
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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