Displaying 103321-103330 of 1611142 results.
ID:
103321
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103322
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103323
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103324
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
700408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103325
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
103326
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103327
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103328
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
238153
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
103329
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103330
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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