Displaying 112461-112470 of 1611142 results.
ID:
112461
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197454
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112462
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112463
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112464
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112465
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112466
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112467
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
112468
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
112469
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112470
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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