Displaying 112371-112380 of 1611142 results.
ID:
112371
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
112372
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
112373
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
112374
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
112375
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112376
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
112377
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
112378
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
112379
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
112380
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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