Displaying 111151-111160 of 1611142 results.
ID:
111151
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111152
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111153
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
111154
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
111155
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111156
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111157
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111158
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111159
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111160
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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