Displaying 120771-120780 of 1611142 results.
ID:
120771
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120772
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120773
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120774
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120775
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120776
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120777
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
754512
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120778
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
120779
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120780
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
863603
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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