Displaying 230671-230680 of 1611142 results.
ID:
230671
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230672
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230673
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230674
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230675
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
884526
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230676
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
430
Qty Limit Days:
30
ID:
230677
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230678
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230679
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230680
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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