Displaying 229871-229880 of 1611142 results.
ID:
229871
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229872
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229873
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229874
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
207273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229875
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191267
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229876
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229877
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229878
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229879
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229880
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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