Displaying 231591-231600 of 1611142 results.
ID:
231591
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231592
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231593
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231594
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231595
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231596
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231597
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
231598
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
231599
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
231600
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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