Displaying 118991-119000 of 1611142 results.
ID:
118991
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
118992
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
118993
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118994
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118995
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118996
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118997
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118998
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118999
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119000
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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