Displaying 229271-229280 of 1611142 results.
ID:
229271
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229272
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1190955
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229273
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1190957
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229274
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229275
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229276
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229277
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229278
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229279
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229280
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351750
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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