Displaying 112611-112620 of 1611142 results.
ID:
112611
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
112612
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
112613
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
112614
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
112615
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
112616
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
112617
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
112618
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
112619
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
112620
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
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