Displaying 231761-231770 of 1611142 results.
ID:
231761
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231762
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231763
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231764
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231765
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
857706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231766
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1359105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231767
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231768
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231769
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231770
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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