Displaying 117461-117470 of 1611142 results.
ID:
117461
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992273
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117462
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
477451
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
117463
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117464
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117465
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1540241
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117466
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
117467
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117468
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117469
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117470
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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