Displaying 101181-101190 of 1611142 results.
ID:
101181
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101182
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
729234
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101183
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
582971
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101184
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
582976
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101185
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
101186
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
101187
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
101188
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
101189
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
101190
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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