Displaying 121161-121170 of 1611142 results.
ID:
121161
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121162
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121163
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121164
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
121165
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121166
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121167
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121168
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121169
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121170
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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