Displaying 108851-108860 of 1611142 results.
ID:
108851
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108852
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108853
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108854
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108855
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108856
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108857
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108858
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108859
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
108860
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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