Displaying 229101-229110 of 1611142 results.
ID:
229101
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966607
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229102
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229103
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
229104
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2104341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229105
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229106
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229107
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229108
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229109
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229110
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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