Displaying 114191-114200 of 1611142 results.
ID:
114191
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114192
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
700408
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114193
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
114194
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
114195
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114196
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
238153
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
114197
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114198
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114199
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
835956
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114200
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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