Displaying 231821-231830 of 1611142 results.
ID:
231821
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231822
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231823
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
231824
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231825
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231826
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231827
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231828
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231829
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
231830
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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