Displaying 114841-114850 of 1611142 results.
ID:
114841
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
114842
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
114843
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
483427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114844
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
483425
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114845
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
309140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114846
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114847
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114848
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114849
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
114850
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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