Displaying 121441-121450 of 1611142 results.
ID:
121441
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121442
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121443
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121444
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121445
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121446
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121447
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121448
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121449
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121450
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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