Displaying 104591-104600 of 1611142 results.
ID:
104591
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
104592
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
104593
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104594
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104595
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
104596
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104597
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104598
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104599
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104600
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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