Displaying 118731-118740 of 1611142 results.
ID:
118731
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
118732
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118733
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118734
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118735
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118736
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118737
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118738
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118739
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118740
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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