Displaying 111001-111010 of 1611142 results.
ID:
111001
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111002
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111003
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111004
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111005
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
111006
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111007
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111008
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111009
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
308739
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
111010
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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