Displaying 228601-228610 of 1611142 results.
ID:
228601
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228602
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228603
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228604
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228605
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228606
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228607
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228608
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228609
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228610
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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