Displaying 228531-228540 of 1611142 results.
ID:
228531
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228532
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
10
ID:
228533
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2000136
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
10
ID:
228534
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
228535
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
228536
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228537
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228538
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228539
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228540
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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