Displaying 228391-228400 of 1611142 results.
ID:
228391
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228392
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228393
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228394
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
228395
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228396
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
228397
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228398
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
228399
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1040025
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228400
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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