Displaying 115771-115780 of 1611142 results.
ID:
115771
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115772
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115773
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
115774
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
ID:
115775
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
115776
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115777
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923347
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115778
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115779
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115780
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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