Displaying 230281-230290 of 1611142 results.
ID:
230281
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
230282
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
230283
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230284
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230285
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230286
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230287
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230288
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230289
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230290
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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