Displaying 231781-231790 of 1611142 results.
ID:
231781
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231782
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231783
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231784
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231785
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231786
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231787
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231788
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231789
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231790
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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