Displaying 101911-101920 of 1611142 results.
ID:
101911
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
101912
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101913
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101914
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101915
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101916
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
101917
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101918
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101919
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
101920
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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