Displaying 230961-230970 of 1611142 results.
ID:
230961
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597987
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230962
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597977
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230963
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
597971
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230964
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230965
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230966
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230967
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230968
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
230969
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
230970
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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