Displaying 110581-110590 of 1611142 results.
ID:
110581
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
110582
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110583
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110584
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
238153
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
110585
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110586
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110587
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
835956
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110588
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110589
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110590
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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