Displaying 231501-231510 of 1611142 results.
ID:
231501
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313995
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
231502
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231503
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231504
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231505
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231506
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
403841
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231507
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231508
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231509
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
577080
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231510
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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