Displaying 119441-119450 of 1611142 results.
ID:
119441
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119442
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119443
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119444
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119445
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119446
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
ID:
119447
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3900
Qty Limit Days:
30
ID:
119448
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119449
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119450
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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