Displaying 119631-119640 of 1611142 results.
ID:
119631
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
119632
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
119633
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119634
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119635
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119636
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119637
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119638
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119639
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
119640
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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