Displaying 230871-230880 of 1611142 results.
ID:
230871
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230872
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230873
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
230874
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2199026
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230875
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2199030
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230876
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
825005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230877
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230878
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230879
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
984105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230880
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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