Displaying 117861-117870 of 1611142 results.
ID:
117861
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117862
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117863
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117864
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117865
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117866
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
117867
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117868
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117869
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117870
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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