Displaying 112401-112410 of 1611142 results.
ID:
112401
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112402
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112403
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112404
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112405
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112406
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
112407
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
112408
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112409
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112410
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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