Displaying 231671-231680 of 1611142 results.
ID:
231671
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231672
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231673
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
849831
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231674
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
849835
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231675
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1998457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231676
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1998463
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231677
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1998453
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231678
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1998455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231679
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1998459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231680
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1998461
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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