Displaying 113461-113470 of 1611142 results.
ID:
113461
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
113462
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
113463
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
113464
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
113465
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113466
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113467
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113468
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113469
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113470
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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