Displaying 113091-113100 of 1611142 results.
ID:
113091
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
113092
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113093
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113094
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113095
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113096
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113097
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
4
ID:
113098
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113099
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113100
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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