Displaying 231411-231420 of 1611142 results.
ID:
231411
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
231412
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
231413
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231414
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231415
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231416
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231417
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231418
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231419
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231420
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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