Displaying 119931-119940 of 1611142 results.
ID:
119931
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
119932
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
608934
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119933
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
832718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119934
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119935
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119936
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119937
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119938
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119939
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
119940
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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