Displaying 112241-112250 of 1611142 results.
ID:
112241
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112242
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112243
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112244
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112245
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112246
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112247
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112248
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112249
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112250
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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