Displaying 117451-117460 of 1611142 results.
ID:
117451
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
117452
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
117453
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117454
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117455
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
117456
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117457
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
117458
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
117459
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117460
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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