Displaying 230001-230010 of 1611142 results.
ID:
230001
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230002
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
360344
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230003
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230004
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230005
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230006
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230007
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230008
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230009
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230010
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
618552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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