Displaying 105741-105750 of 1611142 results.
ID:
105741
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
105742
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105743
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
105744
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
105745
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
105746
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
105747
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
105748
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105749
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105750
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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