Displaying 108141-108150 of 1611142 results.
ID:
108141
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108142
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108143
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108144
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108145
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108146
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108147
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
108148
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108149
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
108150
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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