Displaying 105371-105380 of 1611142 results.
ID:
105371
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
105372
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
105373
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
105374
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
105375
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
105376
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
105377
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
105378
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
105379
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
105380
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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