Displaying 103771-103780 of 1611142 results.
ID:
103771
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103772
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103773
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103774
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
103775
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103776
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103777
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103778
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103779
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103780
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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