Displaying 113871-113880 of 1611142 results.
ID:
113871
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113872
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113873
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113874
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1943345
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113875
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053458
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113876
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
113877
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113878
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113879
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113880
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
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