Displaying 114401-114410 of 1611142 results.
ID:
114401
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
114402
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
114403
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114404
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114405
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114406
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114407
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114408
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114409
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
114410
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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