Displaying 228631-228640 of 1611142 results.
ID:
228631
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228632
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228633
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228634
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228635
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228636
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228637
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228638
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228639
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228640
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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