Displaying 101501-101510 of 1611142 results.
ID:
101501
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
101502
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
101503
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
101504
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
101505
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
101506
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
101507
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101508
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101509
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
101510
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
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