Displaying 228461-228470 of 1611142 results.
ID:
228461
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228462
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228463
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228464
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228465
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228466
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228467
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228468
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228469
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228470
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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