Displaying 110551-110560 of 1611142 results.
ID:
110551
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110552
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110553
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110554
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110555
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110556
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110557
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110558
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370767
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
110559
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110560
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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