Displaying 230531-230540 of 1611142 results.
ID:
230531
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230532
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230533
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230534
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230535
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230536
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230537
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230538
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230539
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230540
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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