Displaying 120981-120990 of 1611142 results.
ID:
120981
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120982
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120983
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120984
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120985
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120986
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120987
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120988
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120989
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120990
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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