Displaying 116261-116270 of 1611142 results.
ID:
116261
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116262
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
180
ID:
116263
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116264
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116265
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116266
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
116267
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
116268
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
116269
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
116270
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
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