Displaying 119511-119520 of 1611142 results.
ID:
119511
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119512
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119513
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119514
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119515
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119516
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119517
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119518
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119519
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119520
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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