Displaying 231231-231240 of 1611142 results.
ID:
231231
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
231232
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231233
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
231234
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231235
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231236
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
231237
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231238
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
231239
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231240
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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