Displaying 114571-114580 of 1611142 results.
ID:
114571
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114572
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114573
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114574
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114575
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114576
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198317
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
114577
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198318
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114578
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
114579
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
114580
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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