Displaying 101141-101150 of 1611142 results.
ID:
101141
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101142
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101143
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101144
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101145
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101146
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101147
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101148
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
101149
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
101150
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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