Displaying 230061-230070 of 1611142 results.
ID:
230061
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230062
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230063
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230064
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230065
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230066
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230067
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230068
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
230069
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1603495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
230070
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1603498
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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