Displaying 230751-230760 of 1611142 results.
ID:
230751
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230752
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230753
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230754
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
201388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230755
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230756
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230757
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230758
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230759
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230760
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312127
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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