Displaying 228241-228250 of 1611142 results.
ID:
228241
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228242
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228243
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228244
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228245
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228246
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228247
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228248
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228249
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228250
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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