Displaying 231751-231760 of 1611142 results.
ID:
231751
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231752
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231753
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231754
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231755
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231756
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231757
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231758
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231759
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231760
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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