Displaying 110351-110360 of 1611142 results.
ID:
110351
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110352
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110353
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110354
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110355
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110356
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110357
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110358
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
728207
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110359
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
110360
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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