Displaying 107161-107170 of 1611142 results.
ID:
107161
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107162
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107163
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107164
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
205329
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
107165
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
107166
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
107167
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107168
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107169
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107170
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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