Displaying 120601-120610 of 1611142 results.
ID:
120601
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
120602
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120603
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120604
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120605
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120606
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
120607
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1661220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120608
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1809580
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120609
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
854876
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120610
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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