Displaying 120561-120570 of 1611142 results.
ID:
120561
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120562
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120563
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120564
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120565
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120566
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120567
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120568
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120569
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120570
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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