Displaying 230021-230030 of 1611142 results.
ID:
230021
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230022
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230023
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1606347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230024
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1606349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230025
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
230026
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
230027
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
230028
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
230029
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230030
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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