Displaying 231861-231870 of 1611142 results.
ID:
231861
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231862
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
849827
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231863
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231864
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231865
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231866
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231867
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1603501
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
231868
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231869
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231870
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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