Displaying 120161-120170 of 1611142 results.
ID:
120161
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
120162
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
120163
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
120164
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120165
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
120166
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
120167
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
120168
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
120169
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
120170
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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