Displaying 229411-229420 of 1611142 results.
ID:
229411
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229412
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
702296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229413
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229414
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229415
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229416
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102440
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229417
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
229418
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102456
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229419
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229420
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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