Displaying 231701-231710 of 1611142 results.
ID:
231701
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231702
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231703
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231704
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231705
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
231706
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
231707
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
231708
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
231709
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
231710
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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