Displaying 231441-231450 of 1611142 results.
ID:
231441
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231442
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231443
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231444
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
231445
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231446
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231447
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231448
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
231449
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231450
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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