Displaying 229181-229190 of 1611142 results.
ID:
229181
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229182
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
229183
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
229184
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229185
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229186
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229187
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
229188
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
229189
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229190
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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