Displaying 230361-230370 of 1611142 results.
ID:
230361
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230362
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
859315
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230363
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230364
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230365
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230366
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230367
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230368
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230369
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230370
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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