Displaying 120971-120980 of 1611142 results.
ID:
120971
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120972
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120973
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120974
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120975
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120976
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120977
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120978
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120979
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120980
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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