Displaying 229371-229380 of 1611142 results.
ID:
229371
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229372
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229373
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229374
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229375
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229376
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229377
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229378
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
207850
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
229379
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229380
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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