Displaying 109191-109200 of 1611142 results.
ID:
109191
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109192
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856792
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109193
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109194
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109195
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109196
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109197
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109198
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
7
ID:
109199
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109200
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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