Displaying 116881-116890 of 1611142 results.
ID:
116881
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
116882
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
116883
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
116884
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
116885
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116886
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116887
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116888
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116889
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116890
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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