Displaying 228661-228670 of 1611142 results.
ID:
228661
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228662
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228663
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228664
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228665
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228666
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
896184
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228667
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
896209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228668
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
896228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228669
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228670
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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