Displaying 118751-118760 of 1611142 results.
ID:
118751
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118752
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118753
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118754
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118755
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118756
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048025
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118757
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118758
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118759
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118760
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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