Displaying 229001-229010 of 1611142 results.
ID:
229001
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229002
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229003
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229004
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229005
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229006
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229007
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229008
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229009
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229010
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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