Displaying 118851-118860 of 1611142 results.
ID:
118851
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118852
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
180
ID:
118853
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
180
ID:
118854
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118855
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118856
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118857
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118858
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118859
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118860
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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