Displaying 230561-230570 of 1611142 results.
ID:
230561
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230562
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230563
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230564
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230565
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230566
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230567
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230568
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230569
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230570
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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