Displaying 102641-102650 of 1611142 results.
ID:
102641
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
102642
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102643
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102644
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102645
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102646
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102647
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
406524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102648
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
434018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102649
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
799048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102650
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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