Displaying 120071-120080 of 1611142 results.
ID:
120071
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966248
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120072
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120073
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120074
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120075
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
892251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120076
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120077
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120078
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120079
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120080
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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