Displaying 119021-119030 of 1611142 results.
ID:
119021
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119022
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119023
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119024
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
119025
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2393794
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
119026
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121764
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119027
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173841
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119028
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119029
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
119030
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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