Displaying 229061-229070 of 1611142 results.
ID:
229061
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1722676
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229062
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1941470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229063
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1941476
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229064
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1941473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229065
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229066
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229067
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229068
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229069
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229070
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2059266
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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