Displaying 229941-229950 of 1611142 results.
ID:
229941
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229942
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229943
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229944
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229945
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229946
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229947
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
229948
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229949
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229950
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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