Displaying 109631-109640 of 1611142 results.
ID:
109631
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109632
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109633
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109634
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109635
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109636
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109637
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
757968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109638
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
109639
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109640
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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