Displaying 112271-112280 of 1611142 results.
ID:
112271
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112272
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112273
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
112274
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
112275
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112276
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
112277
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
112278
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
112279
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112280
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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