Displaying 115971-115980 of 1611142 results.
ID:
115971
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653243
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115972
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599797
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115973
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115974
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115975
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115976
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115977
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
115978
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
115979
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
115980
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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