Displaying 231001-231010 of 1611142 results.
ID:
231001
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
454
Qty Limit Days:
30
ID:
231002
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
454
Qty Limit Days:
30
ID:
231003
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
454
Qty Limit Days:
30
ID:
231004
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231005
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231006
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231007
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231008
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231009
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
231010
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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