Displaying 105261-105270 of 1611142 results.
ID:
105261
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105262
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
105263
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
105264
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
105265
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860137
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
105266
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
105267
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105268
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105269
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105270
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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