Displaying 120661-120670 of 1611142 results.
ID:
120661
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120662
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120663
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120664
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
120665
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
120666
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120667
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120668
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120669
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120670
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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