Displaying 120571-120580 of 1611142 results.
ID:
120571
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120572
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120573
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310992
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120574
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
120575
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120576
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
120577
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
120578
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120579
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120580
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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