Displaying 109151-109160 of 1611142 results.
ID:
109151
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109152
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109153
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109154
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
109155
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
109156
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109157
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109158
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109159
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109160
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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