Displaying 229291-229300 of 1611142 results.
ID:
229291
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
229292
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
229293
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
229294
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229295
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229296
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229297
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229298
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229299
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229300
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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