Displaying 102421-102430 of 1611142 results.
ID:
102421
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102422
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102423
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102424
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102425
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102426
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102427
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
102428
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
102429
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
102430
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
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