Displaying 120351-120360 of 1611142 results.
ID:
120351
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120352
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120353
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1080
Qty Limit Days:
30
ID:
120354
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120355
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120356
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120357
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120358
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120359
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120360
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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