Displaying 231341-231350 of 1611142 results.
ID:
231341
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231342
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231343
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231344
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
28
ID:
231345
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
231346
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231347
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
231348
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231349
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
722111
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231350
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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