Displaying 118511-118520 of 1611142 results.
ID:
118511
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
118512
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
118513
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
118514
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118515
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118516
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118517
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
902624
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118518
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
902626
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118519
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118520
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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