Displaying 114561-114570 of 1611142 results.
ID:
114561
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198108
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114562
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114563
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
114564
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114565
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
855626
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114566
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114567
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
114568
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114569
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114570
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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