Displaying 120191-120200 of 1611142 results.
ID:
120191
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120192
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120193
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120194
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120195
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120196
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120197
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120198
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120199
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120200
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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