Displaying 103591-103600 of 1611142 results.
ID:
103591
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103592
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049504
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
103593
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049545
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
103594
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049565
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
103595
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
103596
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049586
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
103597
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
103598
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049601
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
103599
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544404
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103600
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544383
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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