Displaying 113131-113140 of 1611142 results.
ID:
113131
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113132
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
994237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
113133
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
857564
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113134
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113135
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113136
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
113137
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113138
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113139
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113140
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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