Displaying 231321-231330 of 1611142 results.
ID:
231321
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
231322
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
231323
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
231324
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231325
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231326
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231327
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231328
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231329
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231330
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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