Displaying 114251-114260 of 1611142 results.
ID:
114251
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114252
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114253
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114254
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
114255
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114256
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114257
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114258
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
114259
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
30
ID:
114260
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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