Displaying 116491-116500 of 1611142 results.
ID:
116491
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
116492
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116493
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116494
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
116495
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
116496
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
116497
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116498
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116499
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116500
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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