Displaying 110431-110440 of 1611142 results.
ID:
110431
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110432
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
578018
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110433
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110434
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110435
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110436
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110437
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110438
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110439
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110440
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
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