Displaying 117121-117130 of 1611142 results.
ID:
117121
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
117122
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
117123
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
117124
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
117125
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117126
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117127
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117128
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117129
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117130
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
406524
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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