Displaying 103231-103240 of 1611142 results.
ID:
103231
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103232
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
7
ID:
103233
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103234
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103235
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103236
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103237
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103238
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103239
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103240
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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