Displaying 228231-228240 of 1611142 results.
ID:
228231
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228232
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228233
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228234
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228235
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228236
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228237
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228238
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228239
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228240
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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