Displaying 114911-114920 of 1611142 results.
ID:
114911
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
114912
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
28
ID:
114913
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
114914
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
977923
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114915
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
977929
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114916
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
977874
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114917
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
977894
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114918
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
977902
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114919
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
977909
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114920
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
977915
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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