Displaying 120411-120420 of 1611142 results.
ID:
120411
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602115
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120412
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120413
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120414
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120415
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120416
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120417
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120418
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120419
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1037049
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120420
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2359285
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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