Displaying 231601-231610 of 1611142 results.
ID:
231601
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
231602
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231603
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231604
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231605
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231606
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231607
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231608
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231609
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231610
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
860510
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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