Displaying 229671-229680 of 1611142 results.
ID:
229671
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229672
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229673
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1303736
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229674
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229675
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229676
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229677
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229678
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229679
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229680
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1870230
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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