Displaying 118241-118250 of 1611142 results.
ID:
118241
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118242
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118243
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118244
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118245
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118246
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
118247
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
118248
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
118249
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118250
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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