Displaying 228911-228920 of 1611142 results.
ID:
228911
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228912
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228913
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228914
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228915
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228916
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228917
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
485647
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228918
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228919
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
228920
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311877
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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