Displaying 117191-117200 of 1611142 results.
ID:
117191
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
616539
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117192
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
616541
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117193
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117194
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117195
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117196
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117197
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117198
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
117199
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117200
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
856980
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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