Displaying 119491-119500 of 1611142 results.
ID:
119491
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
207850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119492
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119493
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
208821
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119494
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1011080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119495
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
213307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119496
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
213320
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119497
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119498
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
119499
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119500
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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