Displaying 110261-110270 of 1611142 results.
ID:
110261
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110262
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1943345
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110263
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053458
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110264
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
110265
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110266
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110267
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110268
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
110269
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110270
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056748
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
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