Displaying 229231-229240 of 1611142 results.
ID:
229231
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229232
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229233
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229234
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229235
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229236
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229237
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229238
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229239
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229240
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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