Displaying 106771-106780 of 1611142 results.
ID:
106771
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
248656
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106772
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
749780
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106773
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
204844
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106774
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106775
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106776
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106777
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
106778
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
56
ID:
106779
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106780
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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