Displaying 228891-228900 of 1611142 results.
ID:
228891
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228892
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228893
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228894
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228895
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228896
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228897
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228898
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
897844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228899
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228900
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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