Displaying 119911-119920 of 1611142 results.
ID:
119911
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119912
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119913
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1539762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119914
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119915
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119916
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119917
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119918
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
119919
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119920
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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