Displaying 229171-229180 of 1611142 results.
ID:
229171
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229172
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229173
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229174
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229175
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2046597
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229176
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
229177
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
229178
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229179
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
229180
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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