Displaying 228721-228730 of 1611142 results.
ID:
228721
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228722
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228723
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228724
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228725
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228726
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228727
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228728
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228729
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
228730
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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