Displaying 118451-118460 of 1611142 results.
ID:
118451
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118452
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118453
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118454
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118455
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
483427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118456
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
483425
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118457
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118458
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118459
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118460
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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