Displaying 116081-116090 of 1611142 results.
ID:
116081
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116082
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116083
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
116084
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116085
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116086
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116087
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116088
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116089
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116090
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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