Displaying 103461-103470 of 1611142 results.
ID:
103461
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
103462
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
994008
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
103463
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103464
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
848582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103465
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
824959
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103466
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103467
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103468
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103469
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103470
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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