Displaying 121151-121160 of 1611142 results.
ID:
121151
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121152
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121153
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1251903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121154
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121155
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121156
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
121157
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121158
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
121159
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
121160
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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