Displaying 116761-116770 of 1611142 results.
ID:
116761
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116762
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116763
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116764
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116765
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116766
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116767
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
116768
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116769
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
28
ID:
116770
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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