Displaying 231331-231340 of 1611142 results.
ID:
231331
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231332
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231333
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
231334
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
966577
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231335
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
231336
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
231337
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231338
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
28
ID:
231339
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231340
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
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