Displaying 231661-231670 of 1611142 results.
ID:
231661
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
231662
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
231663
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231664
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231665
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231666
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231667
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231668
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231669
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1247388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231670
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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