Displaying 102621-102630 of 1611142 results.
ID:
102621
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102622
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365660
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102623
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102624
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365850
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102625
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928954
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
102626
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102627
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102628
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102629
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102630
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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