Displaying 111341-111350 of 1611142 results.
ID:
111341
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111342
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
111343
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
111344
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111345
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
111346
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111347
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111348
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
ID:
111349
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111350
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197746
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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