Displaying 120781-120790 of 1611142 results.
ID:
120781
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2361313
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120782
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120783
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1149378
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120784
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120785
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120786
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1149367
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120787
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120788
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
120789
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
120790
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1149370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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