Displaying 120631-120640 of 1611142 results.
ID:
120631
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120632
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120633
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120634
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120635
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
902741
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120636
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
902729
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120637
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
902736
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120638
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1306898
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120639
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120640
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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