Displaying 118351-118360 of 1611142 results.
ID:
118351
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118352
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118353
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118354
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001564
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118355
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118356
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118357
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738807
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118358
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118359
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118360
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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