Displaying 102031-102040 of 1611142 results.
ID:
102031
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102032
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
102033
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
102034
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
102035
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110516
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
102036
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
102037
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
102038
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
211343
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102039
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
102040
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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