Displaying 110711-110720 of 1611142 results.
ID:
110711
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110712
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
799055
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110713
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
799056
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110714
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
799054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110715
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110716
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110717
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
110718
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
994008
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
110719
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110720
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
848582
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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