Displaying 230551-230560 of 1611142 results.
ID:
230551
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230552
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230553
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230554
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230555
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1661220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230556
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1809580
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230557
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
854876
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230558
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230559
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
200371
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230560
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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