Displaying 228741-228750 of 1611142 results.
ID:
228741
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228742
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228743
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228744
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228745
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228746
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228747
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349420
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228748
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
10
ID:
228749
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
10
ID:
228750
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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