Displaying 231421-231430 of 1611142 results.
ID:
231421
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231422
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231423
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1014673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231424
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231425
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231426
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231427
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231428
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231429
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231430
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
844590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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