Displaying 119991-120000 of 1611142 results.
ID:
119991
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
119992
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
119993
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
119994
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119995
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119996
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119997
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119998
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119999
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120000
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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