Displaying 120151-120160 of 1611142 results.
ID:
120151
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
120152
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
120153
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
120154
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120155
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120156
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
120157
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120158
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
120159
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
120160
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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