Displaying 111581-111590 of 1611142 results.
ID:
111581
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111582
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111583
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111584
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
30
ID:
111585
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
30
ID:
111586
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111587
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111588
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111589
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111590
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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