Displaying 100051-100060 of 1611142 results.
ID:
100051
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
100052
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
100053
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
100054
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
100055
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100056
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100057
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100058
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100059
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100060
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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