Displaying 120401-120410 of 1611142 results.
ID:
120401
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120402
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120403
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120404
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
120405
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120406
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
120407
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602120
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120408
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120409
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120410
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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