Displaying 114591-114600 of 1611142 results.
ID:
114591
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
114592
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114593
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114594
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114595
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114596
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114597
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114598
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114599
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114600
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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