Displaying 231571-231580 of 1611142 results.
ID:
231571
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231572
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231573
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231574
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231575
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231576
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231577
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231578
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231579
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231580
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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