Displaying 228501-228510 of 1611142 results.
ID:
228501
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228502
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228503
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228504
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228505
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
228506
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228507
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228508
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228509
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228510
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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