Displaying 113651-113660 of 1611142 results.
ID:
113651
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113652
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113653
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113654
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113655
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113656
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113657
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
113658
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
113659
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113660
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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