Displaying 111301-111310 of 1611142 results.
ID:
111301
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
111302
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977923
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
111303
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977929
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
111304
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977874
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
111305
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977894
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
111306
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977902
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
111307
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977909
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
111308
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977915
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
111309
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111310
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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