Displaying 102731-102740 of 1611142 results.
ID:
102731
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102732
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
102733
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
102734
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102735
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102736
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102737
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102738
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102739
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
102740
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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