Displaying 120281-120290 of 1611142 results.
ID:
120281
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120282
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120283
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120284
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120285
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120286
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120287
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120288
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120289
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120290
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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