Displaying 228711-228720 of 1611142 results.
ID:
228711
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228712
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228713
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228714
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228715
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
228716
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228717
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228718
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228719
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228720
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
849833
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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