Displaying 230971-230980 of 1611142 results.
ID:
230971
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230972
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230973
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230974
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
230975
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
230976
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
230977
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
230978
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
230979
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230980
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
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