Displaying 118651-118660 of 1611142 results.
ID:
118651
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
433801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
118652
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118653
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118654
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118655
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118656
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118657
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118658
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118659
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118660
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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