Displaying 228421-228430 of 1611142 results.
ID:
228421
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
228422
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228423
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228424
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228425
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228426
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228427
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228428
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228429
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228430
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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