Displaying 117701-117710 of 1611142 results.
ID:
117701
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117702
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
117703
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117704
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117705
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117706
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117707
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117708
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117709
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
117710
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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