Displaying 120421-120430 of 1611142 results.
ID:
120421
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2359290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120422
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2359353
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120423
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2359358
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120424
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120425
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120426
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120427
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120428
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120429
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
120430
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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