Displaying 230941-230950 of 1611142 results.
ID:
230941
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230942
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230943
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230944
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230945
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230946
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230947
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230948
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230949
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230950
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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