Displaying 229761-229770 of 1611142 results.
ID:
229761
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229762
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229763
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229764
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
847348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229765
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
847245
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229766
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229767
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229768
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229769
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229770
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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