Displaying 115641-115650 of 1611142 results.
ID:
115641
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046597
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
228
Qty Limit Days:
14
ID:
115642
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
115643
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
115644
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115645
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115646
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115647
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115648
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115649
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
115650
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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