Displaying 229311-229320 of 1611142 results.
ID:
229311
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
991722
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229312
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229313
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229314
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229315
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229316
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229317
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229318
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229319
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229320
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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