Displaying 114321-114330 of 1611142 results.
ID:
114321
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114322
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114323
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114324
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
799055
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114325
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
799056
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114326
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
799054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114327
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114328
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114329
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
114330
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
994008
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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