Displaying 228811-228820 of 1611142 results.
ID:
228811
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
141850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228812
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228813
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
228814
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228815
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228816
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228817
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
28
ID:
228818
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228819
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228820
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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