Displaying 231241-231250 of 1611142 results.
ID:
231241
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231242
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231243
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231244
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1545166
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231245
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1545163
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231246
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1545159
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231247
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1545156
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231248
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231249
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231250
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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