Displaying 113811-113820 of 1611142 results.
ID:
113811
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113812
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113813
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113814
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113815
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
ID:
113816
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
113817
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113818
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
4
ID:
113819
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
113820
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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