Displaying 99431-99440 of 1611142 results.
ID:
99431
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99432
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99433
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99434
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99435
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99436
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
99437
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
99438
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99439
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
99440
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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