Displaying 116831-116840 of 1611142 results.
ID:
116831
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116832
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116833
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
562251
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116834
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
617995
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116835
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116836
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116837
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116838
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
116839
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
116840
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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