Displaying 121351-121360 of 1611142 results.
ID:
121351
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121352
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121353
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121354
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121355
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121356
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121357
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121358
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121359
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121360
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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