Displaying 101901-101910 of 1611142 results.
ID:
101901
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101902
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090639
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101903
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101904
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101905
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
801012
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101906
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
801000
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101907
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
801021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101908
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
801031
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101909
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101910
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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