Displaying 113011-113020 of 1611142 results.
ID:
113011
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113012
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113013
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113014
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
113015
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
113016
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113017
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113018
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113019
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113020
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
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