Displaying 108211-108220 of 1611142 results.
ID:
108211
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108212
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
108213
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108214
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108215
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108216
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108217
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108218
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108219
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108220
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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