Displaying 111851-111860 of 1611142 results.
ID:
111851
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198032
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111852
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111853
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111854
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111855
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111856
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111857
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111858
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111859
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111860
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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