Displaying 117061-117070 of 1611142 results.
ID:
117061
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117062
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117063
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117064
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117065
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117066
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117067
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
117068
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
117069
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117070
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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