Displaying 120551-120560 of 1611142 results.
ID:
120551
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120552
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120553
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120554
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120555
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120556
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
207249
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120557
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120558
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120559
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1946529
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120560
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1946527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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