Displaying 113311-113320 of 1611142 results.
ID:
113311
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113312
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113313
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113314
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
560
Qty Limit Days:
28
ID:
113315
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
113316
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113317
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113318
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113319
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113320
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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