Displaying 231191-231200 of 1611142 results.
ID:
231191
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231192
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231193
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
477367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231194
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
477372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231195
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
231196
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
231197
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231198
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231199
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231200
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
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