Displaying 113611-113620 of 1611142 results.
ID:
113611
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113612
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113613
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113614
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113615
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113616
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113617
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113618
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
113619
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
113620
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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