Displaying 113531-113540 of 1611142 results.
ID:
113531
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
309044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113532
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
313888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113533
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
309042
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113534
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113535
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113536
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113537
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
25
ID:
113538
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
213262
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113539
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
545259
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113540
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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