Displaying 119351-119360 of 1611142 results.
ID:
119351
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119352
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119353
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
206417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119354
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119355
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119356
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119357
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119358
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119359
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119360
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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