Displaying 229561-229570 of 1611142 results.
ID:
229561
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229562
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229563
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229564
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229565
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229566
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229567
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229568
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229569
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229570
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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