Displaying 109211-109220 of 1611142 results.
ID:
109211
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109212
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109213
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109214
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
109215
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
109216
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
109217
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109218
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109219
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109220
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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