Displaying 231461-231470 of 1611142 results.
ID:
231461
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231462
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
858778
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231463
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231464
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231465
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231466
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231467
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231468
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
206791
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231469
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
580286
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231470
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1597570
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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