Displaying 229811-229820 of 1611142 results.
ID:
229811
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229812
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229813
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
966524
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
229814
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
966529
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
229815
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
998426
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229816
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229817
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1098608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229818
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229819
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229820
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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