Displaying 116791-116800 of 1611142 results.
ID:
116791
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116792
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116793
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116794
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116795
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116796
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116797
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037049
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
116798
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116799
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116800
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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