Displaying 119431-119440 of 1611142 results.
ID:
119431
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119432
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119433
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3000
Qty Limit Days:
30
ID:
119434
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
ID:
119435
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
997170
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
119436
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
119437
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
119438
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119439
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119440
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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