Displaying 230141-230150 of 1611142 results.
ID:
230141
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230142
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230143
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
30
ID:
230144
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230145
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230146
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230147
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230148
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
230149
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230150
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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