Displaying 118801-118810 of 1611142 results.
ID:
118801
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118802
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118803
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118804
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118805
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118806
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118807
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118808
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
30
ID:
118809
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
30
ID:
118810
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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