Displaying 101531-101540 of 1611142 results.
ID:
101531
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
101532
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101533
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101534
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101535
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101536
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101537
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
857461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101538
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101539
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
834022
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
101540
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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