Displaying 120381-120390 of 1611142 results.
ID:
120381
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120382
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120383
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120384
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120385
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120386
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
380
Qty Limit Days:
30
ID:
120387
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
120388
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
20
ID:
120389
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120390
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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