Displaying 112801-112810 of 1611142 results.
ID:
112801
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112802
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112803
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112804
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
856792
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112805
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112806
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112807
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112808
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112809
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112810
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
7
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