Displaying 116871-116880 of 1611142 results.
ID:
116871
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
116872
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116873
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116874
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116875
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116876
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116877
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
116878
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116879
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116880
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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