Displaying 111601-111610 of 1611142 results.
ID:
111601
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111602
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111603
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111604
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111605
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
111606
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111607
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111608
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111609
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111610
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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