Displaying 101281-101290 of 1611142 results.
ID:
101281
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101282
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101283
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101284
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101285
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
101286
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
ID:
101287
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
101288
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101289
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923347
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101290
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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