Displaying 119921-119930 of 1611142 results.
ID:
119921
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119922
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119923
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119924
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
119925
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119926
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119927
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119928
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119929
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119930
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1867547
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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