Displaying 230631-230640 of 1611142 results.
ID:
230631
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230632
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230633
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230634
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230635
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230636
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230637
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230638
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230639
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230640
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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