Displaying 120491-120500 of 1611142 results.
ID:
120491
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120492
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
730988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120493
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120494
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120495
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120496
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120497
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120498
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120499
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120500
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
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