Displaying 118221-118230 of 1611142 results.
ID:
118221
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118222
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
118223
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118224
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118225
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118226
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118227
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118228
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118229
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
118230
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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