Displaying 121221-121230 of 1611142 results.
ID:
121221
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
121222
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
121223
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
121224
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054310
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121225
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054313
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121226
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121227
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054318
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121228
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121229
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121230
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
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