Displaying 119061-119070 of 1611142 results.
ID:
119061
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
119062
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
180
ID:
119063
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
119064
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
119065
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
119066
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119067
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119068
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
119069
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119070
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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