Displaying 113111-113120 of 1611142 results.
ID:
113111
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113112
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113113
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113114
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113115
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113116
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113117
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113118
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113119
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431286
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
113120
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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