Displaying 230071-230080 of 1611142 results.
ID:
230071
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230072
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230073
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2110516
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230074
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
230075
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230076
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
211343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230077
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230078
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230079
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230080
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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