Displaying 111231-111240 of 1611142 results.
ID:
111231
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
483427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111232
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
483425
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111233
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111234
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111235
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111236
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111237
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
111238
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111239
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111240
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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