Displaying 108921-108930 of 1611142 results.
ID:
108921
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
108922
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
314000
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108923
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108924
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108925
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108926
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108927
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108928
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108929
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108930
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310534
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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