Displaying 119721-119730 of 1611142 results.
ID:
119721
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119722
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119723
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119724
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1918209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
119725
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1918194
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
119726
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1918203
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
119727
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
119728
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
119729
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119730
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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