Displaying 113261-113270 of 1611142 results.
ID:
113261
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113262
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113263
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113264
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113265
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
113266
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113267
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113268
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
113269
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
113270
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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