Displaying 120701-120710 of 1611142 results.
ID:
120701
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120702
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120703
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120704
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120705
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120706
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120707
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
120708
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120709
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120710
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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