Displaying 231451-231460 of 1611142 results.
ID:
231451
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231452
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
231453
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231454
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231455
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231456
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231457
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231458
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231459
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231460
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
318179
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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