Displaying 113381-113390 of 1611142 results.
ID:
113381
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113382
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113383
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113384
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113385
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113386
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113387
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113388
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113389
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113390
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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