Displaying 121561-121570 of 1611142 results.
ID:
121561
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121562
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121563
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121564
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121565
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121566
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121567
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121568
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121569
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
121570
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
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