Displaying 114931-114940 of 1611142 results.
ID:
114931
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114932
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114933
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114934
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114935
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114936
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114937
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
114938
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399895
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
114939
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
114940
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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