Displaying 231471-231480 of 1611142 results.
ID:
231471
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1864414
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231472
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1431083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231473
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1666385
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231474
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1431104
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231475
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1597575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231476
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231477
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231478
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231479
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1433736
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
231480
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
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