Displaying 228831-228840 of 1611142 results.
ID:
228831
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228832
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228833
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228834
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228835
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228836
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228837
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228838
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228839
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228840
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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