Displaying 119801-119810 of 1611142 results.
ID:
119801
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
834127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119802
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119803
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119804
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119805
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119806
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119807
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119808
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119809
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
5400
Qty Limit Days:
30
ID:
119810
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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