Displaying 231741-231750 of 1611142 results.
ID:
231741
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231742
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231743
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231744
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231745
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231746
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231747
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231748
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231749
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231750
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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