Displaying 231031-231040 of 1611142 results.
ID:
231031
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231032
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231033
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1540241
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231034
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
231035
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
231036
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231037
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
231038
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231039
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231040
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
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