Displaying 116231-116240 of 1611142 results.
ID:
116231
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
116232
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
116233
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
116234
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
116235
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
116236
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
116237
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
116238
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116239
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116240
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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