Displaying 228791-228800 of 1611142 results.
ID:
228791
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
833711
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228792
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
833713
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228793
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228794
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228795
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228796
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228797
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228798
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228799
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228800
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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