Displaying 119781-119790 of 1611142 results.
ID:
119781
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119782
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119783
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119784
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119785
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119786
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119787
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119788
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119789
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119790
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1870230
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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