Displaying 118881-118890 of 1611142 results.
ID:
118881
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
118882
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118883
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
141850
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
118884
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
118885
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
118886
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118887
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118888
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118889
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118890
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487251
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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