Displaying 115241-115250 of 1611142 results.
ID:
115241
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
180
ID:
115242
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115243
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115244
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115245
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115246
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115247
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115248
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115249
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115250
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
854894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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