Displaying 117491-117500 of 1611142 results.
ID:
117491
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117492
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
117493
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117494
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056748
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
117495
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
117496
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
117497
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117498
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
117499
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
117500
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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