Displaying 113051-113060 of 1611142 results.
ID:
113051
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113052
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113053
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113054
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113055
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113056
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113057
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113058
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113059
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113060
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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