Displaying 104711-104720 of 1611142 results.
ID:
104711
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
104712
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104713
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104714
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104715
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104716
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
206883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104717
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104718
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104719
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
104720
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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