Displaying 120591-120600 of 1611142 results.
ID:
120591
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1010606
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120592
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1307063
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120593
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120594
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
120595
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120596
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120597
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
120598
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
120599
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
120600
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
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