Displaying 118011-118020 of 1611142 results.
ID:
118011
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118012
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
205329
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
118013
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
118014
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
118015
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118016
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118017
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118018
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118019
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118020
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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