Displaying 119151-119160 of 1611142 results.
ID:
119151
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119152
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119153
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119154
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946589
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
30
ID:
119155
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1421461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119156
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044928
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119157
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119158
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119159
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045959
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119160
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045961
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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