Displaying 119841-119850 of 1611142 results.
ID:
119841
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119842
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119843
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119844
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119845
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119846
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1670023
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119847
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1670016
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119848
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2107522
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119849
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
616238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119850
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
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