Displaying 117991-118000 of 1611142 results.
ID:
117991
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
117992
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117993
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117994
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117995
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117996
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
117997
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
117998
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
117999
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118000
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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