Displaying 228451-228460 of 1611142 results.
ID:
228451
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228452
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228453
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228454
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228455
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228456
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228457
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228458
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1992571
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228459
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228460
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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