Displaying 116621-116630 of 1611142 results.
ID:
116621
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116622
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116623
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116624
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116625
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116626
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
116627
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
116628
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116629
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116630
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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