Displaying 120201-120210 of 1611142 results.
ID:
120201
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120202
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120203
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120204
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120205
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120206
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
120207
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120208
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120209
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120210
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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