Displaying 103491-103500 of 1611142 results.
ID:
103491
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
103492
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
103493
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123191
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
103494
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103495
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648162
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103496
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648160
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103497
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048718
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103498
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048722
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103499
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103500
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1865962
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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