Displaying 230451-230460 of 1611142 results.
ID:
230451
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
892345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230452
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
894801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230453
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
892352
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230454
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
894814
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230455
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
892554
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230456
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230457
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230458
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230459
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230460
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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