Displaying 111-120 of 1611142 results.
ID:
111
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
112
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
114
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
119
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
120
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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