Displaying 111441-111450 of 1611142 results.
ID:
111441
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
111442
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
111443
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111444
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111445
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111446
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111447
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111448
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111449
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111450
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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