Displaying 119651-119660 of 1611142 results.
ID:
119651
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119652
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
119653
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2196592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
119654
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119655
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119656
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119657
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1246313
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
119658
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1246310
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
119659
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119660
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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