Displaying 230591-230600 of 1611142 results.
ID:
230591
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230592
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091210
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230593
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1995461
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230594
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230595
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
230596
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230597
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230598
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
212438
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230599
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
797697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
230600
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
212437
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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