Displaying 229341-229350 of 1611142 results.
ID:
229341
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229342
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229343
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1304979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229344
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
229345
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229346
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229347
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229348
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229349
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229350
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
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