Displaying 117531-117540 of 1611142 results.
ID:
117531
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117532
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117533
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117534
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117535
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117536
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
117537
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
117538
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117539
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
117540
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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