Displaying 105061-105070 of 1611142 results.
ID:
105061
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
105062
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105063
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
105064
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
105065
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105066
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105067
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105068
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105069
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
105070
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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