Displaying 100911-100920 of 1611142 results.
ID:
100911
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
100912
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100913
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
100914
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100915
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100916
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100917
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100918
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100919
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100920
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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