Displaying 103341-103350 of 1611142 results.
ID:
103341
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103342
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103343
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103344
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103345
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103346
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103347
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103348
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103349
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103350
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
993943
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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