Displaying 109611-109620 of 1611142 results.
ID:
109611
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109612
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109613
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109614
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
109615
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
109616
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109617
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109618
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109619
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109620
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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