Displaying 231631-231640 of 1611142 results.
ID:
231631
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231632
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1928689
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
231633
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2118741
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
231634
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231635
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231636
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231637
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231638
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231639
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231640
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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