Displaying 229901-229910 of 1611142 results.
ID:
229901
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
454
Qty Limit Days:
30
ID:
229902
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229903
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229904
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229905
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229906
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229907
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229908
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229909
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229910
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
242816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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