Displaying 109971-109980 of 1611142 results.
ID:
109971
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109972
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109973
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109974
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109975
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109976
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856980
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
109977
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109978
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109979
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109980
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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