Displaying 228781-228790 of 1611142 results.
ID:
228781
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228782
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228783
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228784
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228785
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228786
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228787
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228788
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
180
ID:
228789
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
180
ID:
228790
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
833709
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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