Displaying 105731-105740 of 1611142 results.
ID:
105731
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
105732
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105733
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105734
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105735
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105736
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105737
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105738
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
105739
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
105740
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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