Displaying 121051-121060 of 1611142 results.
ID:
121051
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121052
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121053
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121054
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
121055
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121056
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121057
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121058
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121059
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121060
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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