Displaying 99301-99310 of 1611142 results.
ID:
99301
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
897044
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99302
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
99303
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
99304
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99305
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
207836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99306
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
796918
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99307
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
99308
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
99309
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
582984
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99310
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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