Displaying 116641-116650 of 1611142 results.
ID:
116641
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116642
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116643
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116644
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116645
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
116646
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
116647
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116648
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116649
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116650
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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