Displaying 121041-121050 of 1611142 results.
ID:
121041
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
121042
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121043
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121044
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121045
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121046
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121047
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121048
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121049
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121050
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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