Displaying 116471-116480 of 1611142 results.
ID:
116471
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116472
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116473
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116474
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116475
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116476
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116477
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116478
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
116479
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
116480
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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