Displaying 110671-110680 of 1611142 results.
ID:
110671
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110672
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110673
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110674
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099686
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
110675
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099691
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
110676
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
110677
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110678
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110679
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110680
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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