Displaying 109231-109240 of 1611142 results.
ID:
109231
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109232
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
892251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109233
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109234
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109235
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109236
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109237
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109238
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109239
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
109240
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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