Displaying 116431-116440 of 1611142 results.
ID:
116431
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116432
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116433
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116434
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116435
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116436
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116437
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116438
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
116439
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
116440
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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