Displaying 117831-117840 of 1611142 results.
ID:
117831
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
994239
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
117832
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117833
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012904
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117834
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117835
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
117836
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
117837
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
117838
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117839
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117840
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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