Displaying 119641-119650 of 1611142 results.
ID:
119641
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
119642
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1421456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119643
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
119644
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119645
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
119646
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
119647
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
119648
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
119649
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119650
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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