Displaying 113891-113900 of 1611142 results.
ID:
113891
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2167563
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113892
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2167567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113893
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2167571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113894
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113895
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113896
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113897
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
113898
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
113899
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
113900
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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