Displaying 118521-118530 of 1611142 results.
ID:
118521
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118522
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118523
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
118524
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
28
ID:
118525
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
118526
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
977923
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118527
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
977929
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118528
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
977874
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118529
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
977894
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118530
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
977902
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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