Displaying 101641-101650 of 1611142 results.
ID:
101641
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101642
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101643
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101644
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101645
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101646
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101647
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
101648
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101649
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
101650
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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