Displaying 107021-107030 of 1611142 results.
ID:
107021
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107022
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
107023
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
30
ID:
107024
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107025
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107026
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107027
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806890
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107028
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2184126
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
107029
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107030
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
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