Displaying 231281-231290 of 1611142 results.
ID:
231281
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231282
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
231283
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
30
ID:
231284
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
231285
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
899660
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231286
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
899521
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231287
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
899690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231288
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
899607
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231289
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
899642
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231290
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
899705
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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