Displaying 228671-228680 of 1611142 results.
ID:
228671
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228672
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228673
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228674
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228675
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228676
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228677
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228678
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228679
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228680
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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