Displaying 231521-231530 of 1611142 results.
ID:
231521
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
231522
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231523
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
848582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231524
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
824959
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231525
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231526
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231527
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231528
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231529
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231530
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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