Displaying 120881-120890 of 1611142 results.
ID:
120881
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120882
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120883
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120884
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120885
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120886
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120887
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120888
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120889
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120890
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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