Displaying 121401-121410 of 1611142 results.
ID:
121401
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
121402
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
121403
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121404
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
121405
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121406
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121407
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121408
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121409
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121410
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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