Displaying 228311-228320 of 1611142 results.
ID:
228311
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228312
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228313
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228314
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228315
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228316
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
228317
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2001564
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228318
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228319
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228320
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1738807
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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