Displaying 110831-110840 of 1611142 results.
ID:
110831
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110832
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110833
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110834
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110835
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110836
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110837
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110838
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110839
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110840
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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