Displaying 112911-112920 of 1611142 results.
ID:
112911
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
112912
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
112913
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
112914
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001566
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
112915
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001568
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
112916
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
112917
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
112918
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
112919
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
112920
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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