Displaying 99731-99740 of 1611142 results.
ID:
99731
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
994239
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
99732
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99733
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012904
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99734
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99735
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
99736
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
99737
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
99738
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99739
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99740
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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