Displaying 120581-120590 of 1611142 results.
ID:
120581
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120582
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
120583
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120584
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1012017
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120585
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
209002
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120586
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
208420
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120587
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120588
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120589
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1010603
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120590
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1307058
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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