Displaying 108281-108290 of 1611142 results.
ID:
108281
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
108282
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
108283
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108284
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
108285
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
108286
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108287
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108288
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108289
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108290
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
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