Displaying 230351-230360 of 1611142 results.
ID:
230351
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230352
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1037049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230353
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2359285
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230354
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2359290
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230355
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2359353
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230356
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2359358
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230357
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230358
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230359
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230360
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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