Displaying 101411-101420 of 1611142 results.
ID:
101411
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
101412
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101413
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101414
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101415
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
101416
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
101417
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
101418
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
101419
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
101420
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
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