Displaying 101011-101020 of 1611142 results.
ID:
101011
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101012
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101013
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
101014
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
101015
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
101016
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855072
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
101017
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
101018
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
101019
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101020
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362178
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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