Displaying 119941-119950 of 1611142 results.
ID:
119941
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119942
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119943
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119944
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119945
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119946
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119947
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
794639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119948
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
616578
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
119949
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
999965
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119950
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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