Displaying 120471-120480 of 1611142 results.
ID:
120471
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120472
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
120473
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
120474
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
120475
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120476
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
120477
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120478
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120479
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120480
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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