Displaying 99911-99920 of 1611142 results.
ID:
99911
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99912
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
205329
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
99913
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
99914
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
99915
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99916
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99917
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99918
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99919
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99920
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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