Displaying 231311-231320 of 1611142 results.
ID:
231311
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
231312
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
231313
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
231314
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
231315
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
231316
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
231317
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
231318
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
231319
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1286
Qty Limit Days:
30
ID:
231320
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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