Displaying 121541-121550 of 1611142 results.
ID:
121541
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121542
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121543
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121544
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
121545
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121546
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121547
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121548
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
30
ID:
121549
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
121550
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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