Displaying 120241-120250 of 1611142 results.
ID:
120241
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120242
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120243
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120244
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120245
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120246
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120247
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120248
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120249
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120250
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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