Displaying 230051-230060 of 1611142 results.
ID:
230051
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230052
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230053
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230054
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230055
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230056
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230057
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230058
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
230059
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000093
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
230060
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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