Displaying 229611-229620 of 1611142 results.
ID:
229611
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229612
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229613
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229614
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229615
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229616
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
800915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229617
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
229618
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
229619
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
229620
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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