Displaying 106251-106260 of 1611142 results.
ID:
106251
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106252
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106253
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106254
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365660
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106255
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106256
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365850
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106257
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928954
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
106258
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106259
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106260
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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