Displaying 231921-231930 of 1611142 results.
ID:
231921
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231922
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231923
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231924
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231925
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2260709
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
231926
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231927
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231928
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231929
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
212039
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231930
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
212232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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