Displaying 115731-115740 of 1611142 results.
ID:
115731
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
ID:
115732
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115733
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115734
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115735
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115736
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115737
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115738
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115739
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115740
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1008
Qty Limit Days:
90
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