Displaying 116541-116550 of 1611142 results.
ID:
116541
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116542
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116543
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116544
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116545
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116546
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
116547
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
116548
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
116549
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
116550
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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