Displaying 113241-113250 of 1611142 results.
ID:
113241
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113242
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113243
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113244
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113245
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113246
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113247
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113248
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113249
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
757968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113250
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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