Displaying 113571-113580 of 1611142 results.
ID:
113571
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113572
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113573
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113574
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113575
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113576
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113577
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
200193
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
113578
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
200194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
113579
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
616539
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113580
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
616541
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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