Displaying 112601-112610 of 1611142 results.
ID:
112601
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112602
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112603
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112604
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112605
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112606
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112607
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112608
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112609
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
112610
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
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