Displaying 114761-114770 of 1611142 results.
ID:
114761
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114762
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114763
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114764
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114765
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114766
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114767
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114768
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114769
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114770
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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