Displaying 106731-106740 of 1611142 results.
ID:
106731
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106732
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106733
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106734
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
728207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106735
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
106736
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
106737
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
106738
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
106739
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106740
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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