Displaying 228221-228230 of 1611142 results.
ID:
228221
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966233
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228222
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966235
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228223
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966237
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228224
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228225
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228226
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228227
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228228
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228229
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228230
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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