Displaying 111351-111360 of 1611142 results.
ID:
111351
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111352
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111353
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111354
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
111355
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
111356
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111357
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110774
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
111358
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110777
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
111359
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
111360
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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