Displaying 102571-102580 of 1611142 results.
ID:
102571
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
102572
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
102573
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102574
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102575
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102576
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102577
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102578
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102579
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102580
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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