Displaying 121571-121580 of 1611142 results.
ID:
121571
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
121572
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121573
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121574
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121575
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121576
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121577
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121578
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121579
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121580
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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