Displaying 231801-231810 of 1611142 results.
ID:
231801
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231802
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231803
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231804
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231805
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231806
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231807
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231808
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231809
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231810
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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