Displaying 121491-121500 of 1611142 results.
ID:
121491
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121492
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121493
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
121494
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121495
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121496
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121497
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121498
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121499
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121500
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
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