Displaying 119771-119780 of 1611142 results.
ID:
119771
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119772
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119773
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119774
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119775
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119776
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119777
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119778
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119779
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119780
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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