Displaying 104511-104520 of 1611142 results.
ID:
104511
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104512
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104513
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104514
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104515
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
104516
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104517
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
104518
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104519
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
104520
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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