Displaying 117841-117850 of 1611142 results.
ID:
117841
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117842
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117843
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117844
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117845
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117846
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117847
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
117848
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
117849
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
117850
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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