Displaying 118151-118160 of 1611142 results.
ID:
118151
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118152
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118153
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
118154
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
118155
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118156
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118157
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118158
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118159
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118160
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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