Displaying 230741-230750 of 1611142 results.
ID:
230741
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1425339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230742
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1426253
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230743
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1425337
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230744
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1535451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230745
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1535456
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230746
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1535472
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230747
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230748
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230749
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230750
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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