Displaying 115691-115700 of 1611142 results.
ID:
115691
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115692
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115693
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115694
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115695
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115696
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115697
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115698
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115699
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
115700
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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