Displaying 113551-113560 of 1611142 results.
ID:
113551
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113552
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113553
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113554
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113555
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113556
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113557
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113558
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113559
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113560
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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