Displaying 228991-229000 of 1611142 results.
ID:
228991
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228992
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228993
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
228994
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
702306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228995
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228996
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
403930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228997
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228998
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197844
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228999
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229000
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
180
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