Displaying 231261-231270 of 1611142 results.
ID:
231261
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231262
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1811011
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231263
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1811007
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231264
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1811003
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231265
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1810999
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231266
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231267
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231268
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231269
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231270
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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