Displaying 231151-231160 of 1611142 results.
ID:
231151
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
721787
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231152
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231153
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231154
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231155
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231156
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231157
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231158
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231159
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231160
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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