Displaying 110091-110100 of 1611142 results.
ID:
110091
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110092
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
110093
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
110094
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
110095
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
110096
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
110097
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
110098
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
110099
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
110100
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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