Displaying 117731-117740 of 1611142 results.
ID:
117731
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
117732
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
117733
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
117734
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
117735
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
117736
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
117737
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
117738
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
117739
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
117740
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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