Displaying 231431-231440 of 1611142 results.
ID:
231431
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
844813
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231432
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
844591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231433
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
844829
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231434
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231435
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231436
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231437
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1232591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231438
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1650201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231439
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231440
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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