Displaying 116581-116590 of 1611142 results.
ID:
116581
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116582
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116583
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116584
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116585
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116586
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116587
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116588
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116589
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116590
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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