Displaying 228691-228700 of 1611142 results.
ID:
228691
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2048025
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
228692
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
540617
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
228693
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
228694
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
213337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228695
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228696
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228697
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228698
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
485489
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228699
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228700
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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