Displaying 231851-231860 of 1611142 results.
ID:
231851
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231852
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231853
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
231854
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
231855
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231856
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231857
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231858
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231859
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231860
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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