Displaying 120031-120040 of 1611142 results.
ID:
120031
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
120032
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
120033
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120034
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120035
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
120036
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120037
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120038
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120039
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120040
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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