Displaying 111631-111640 of 1611142 results.
ID:
111631
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111632
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111633
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111634
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111635
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111636
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111637
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111638
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
854894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
111639
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
854880
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
111640
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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