Displaying 105611-105620 of 1611142 results.
ID:
105611
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
105612
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
105613
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
105614
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
105615
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105616
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
105617
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
105618
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105619
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105620
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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