Displaying 119811-119820 of 1611142 results.
ID:
119811
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119812
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119813
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119814
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119815
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
119816
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
119817
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
119818
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
119819
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119820
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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