Displaying 101241-101250 of 1611142 results.
ID:
101241
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101242
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101243
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
ID:
101244
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101245
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101246
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101247
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101248
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101249
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101250
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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