Displaying 116221-116230 of 1611142 results.
ID:
116221
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
116222
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
116223
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
116224
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
116225
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
116226
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
116227
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
116228
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
116229
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
116230
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
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