Displaying 121281-121290 of 1611142 results.
ID:
121281
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121282
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121283
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
121284
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121285
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121286
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121287
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121288
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121289
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121290
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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