Displaying 120121-120130 of 1611142 results.
ID:
120121
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120122
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120123
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120124
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120125
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120126
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120127
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120128
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1095224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120129
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120130
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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