Displaying 114161-114170 of 1611142 results.
ID:
114161
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114162
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114163
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114164
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114165
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114166
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114167
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114168
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114169
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114170
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370767
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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