Displaying 104951-104960 of 1611142 results.
ID:
104951
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
104952
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
104953
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
104954
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104955
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104956
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
700
Qty Limit Days:
30
ID:
104957
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
104958
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
104959
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
104960
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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