Displaying 231131-231140 of 1611142 results.
ID:
231131
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231132
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231133
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231134
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231135
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231136
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231137
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231138
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231139
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231140
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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