Displaying 229961-229970 of 1611142 results.
ID:
229961
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229962
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
229963
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229964
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229965
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229966
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229967
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229968
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229969
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229970
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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