Displaying 230431-230440 of 1611142 results.
ID:
230431
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230432
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230433
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230434
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230435
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230436
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
230437
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230438
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230439
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
230440
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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