Displaying 109171-109180 of 1611142 results.
ID:
109171
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
801031
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109172
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109173
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
109174
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
109175
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109176
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109177
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109178
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109179
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
109180
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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