Displaying 229431-229440 of 1611142 results.
ID:
229431
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229432
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102472
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229433
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229434
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229435
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229436
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229437
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229438
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229439
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1994395
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229440
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1994389
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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