Displaying 114871-114880 of 1611142 results.
ID:
114871
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
114872
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
114873
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
114874
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
114875
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
114876
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
114877
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
114878
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114879
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114880
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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