Displaying 228471-228480 of 1611142 results.
ID:
228471
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228472
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228473
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228474
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
228475
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373493
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228476
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373498
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
180
ID:
228477
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
228478
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
228479
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228480
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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