Displaying 229661-229670 of 1611142 results.
ID:
229661
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
77
Qty Limit Days:
30
ID:
229662
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
58
Qty Limit Days:
30
ID:
229663
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
39
Qty Limit Days:
30
ID:
229664
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
29
Qty Limit Days:
30
ID:
229665
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229666
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229667
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229668
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229669
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229670
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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