Displaying 120291-120300 of 1611142 results.
ID:
120291
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120292
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120293
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120294
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120295
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120296
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
404065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120297
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120298
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120299
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120300
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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