Displaying 119541-119550 of 1611142 results.
ID:
119541
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2102470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119542
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119543
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2102472
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119544
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119545
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119546
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119547
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119548
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119549
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1313887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119550
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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