Displaying 229731-229740 of 1611142 results.
ID:
229731
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197327
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229732
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229733
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199041
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229734
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229735
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229736
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229737
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229738
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229739
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1670023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
229740
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1670016
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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