Displaying 11111-11120 of 1611142 results.
ID:
11111
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11112
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11113
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11114
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11115
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
11116
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
11117
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
11118
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
11119
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11120
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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