Displaying 110481-110490 of 1611142 results.
ID:
110481
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110482
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110483
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110484
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110485
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
110486
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
110487
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110488
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
7
ID:
110489
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110490
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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