Displaying 114951-114960 of 1611142 results.
ID:
114951
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114952
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114953
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114954
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
114955
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
114956
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114957
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
114958
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114959
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114960
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
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