Displaying 230931-230940 of 1611142 results.
ID:
230931
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230932
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230933
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230934
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230935
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230936
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230937
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230938
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1423080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230939
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230940
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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