Displaying 229831-229840 of 1611142 results.
ID:
229831
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
903879
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229832
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
892342
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229833
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
892349
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229834
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
892355
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229835
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
892297
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
229836
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
894942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229837
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
894970
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229838
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229839
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229840
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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