Displaying 230841-230850 of 1611142 results.
ID:
230841
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
230842
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
230843
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230844
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230845
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230846
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230847
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230848
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230849
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
230850
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
901541
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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