Displaying 230101-230110 of 1611142 results.
ID:
230101
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
230102
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
230103
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
230104
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
230105
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198243
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230106
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230107
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230108
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230109
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230110
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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