Displaying 120991-121000 of 1611142 results.
ID:
120991
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120992
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
120993
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
120994
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
120995
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
120996
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
120997
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120998
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
120999
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121000
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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