Displaying 111131-111140 of 1611142 results.
ID:
111131
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111132
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111133
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738807
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111134
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111135
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111136
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111137
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111138
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111139
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111140
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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