Displaying 106441-106450 of 1611142 results.
ID:
106441
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
106442
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106443
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106444
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106445
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106446
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
106447
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106448
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106449
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106450
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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