Displaying 230571-230580 of 1611142 results.
ID:
230571
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230572
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230573
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230574
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230575
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230576
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230577
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230578
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230579
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230580
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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