Displaying 120951-120960 of 1611142 results.
ID:
120951
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120952
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
120953
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120954
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120955
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120956
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120957
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091339
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120958
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1300272
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
120959
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120960
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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