Displaying 230951-230960 of 1611142 results.
ID:
230951
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230952
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230953
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230954
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230955
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230956
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230957
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230958
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230959
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230960
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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