Displaying 111061-111070 of 1611142 results.
ID:
111061
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
308720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111062
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111063
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111064
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
111065
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111066
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111067
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111068
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111069
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111070
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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