Displaying 118771-118780 of 1611142 results.
ID:
118771
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
118772
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118773
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118774
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118775
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118776
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118777
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118778
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
118779
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118780
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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