Displaying 105361-105370 of 1611142 results.
ID:
105361
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105362
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105363
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105364
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105365
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105366
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
105367
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
105368
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
105369
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
105370
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
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