Displaying 114131-114140 of 1611142 results.
ID:
114131
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114132
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114133
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114134
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
114135
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114136
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114137
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114138
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114139
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114140
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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