Displaying 111911-111920 of 1611142 results.
ID:
111911
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111912
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1941470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111913
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1941476
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111914
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1941473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111915
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111916
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111917
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111918
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
111919
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
111920
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
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