Displaying 109431-109440 of 1611142 results.
ID:
109431
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109432
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109433
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109434
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109435
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109436
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109437
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109438
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109439
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109440
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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