Displaying 114971-114980 of 1611142 results.
ID:
114971
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
114972
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
114973
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
114974
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
114975
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
866907
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114976
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114977
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873765
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
114978
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
114979
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
114980
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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