Displaying 116141-116150 of 1611142 results.
ID:
116141
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116142
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116143
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116144
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116145
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116146
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
314000
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116147
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310536
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116148
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310539
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116149
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116150
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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