Displaying 109311-109320 of 1611142 results.
ID:
109311
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
109312
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109313
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109314
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
109315
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
109316
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
109317
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
109318
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
109319
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
109320
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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