Displaying 100261-100270 of 1611142 results.
ID:
100261
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100262
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100263
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100264
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100265
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100266
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
100267
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
100268
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100269
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100270
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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