Displaying 113451-113460 of 1611142 results.
ID:
113451
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113452
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113453
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113454
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113455
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113456
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113457
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113458
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113459
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113460
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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