Displaying 121581-121590 of 1611142 results.
ID:
121581
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121582
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121583
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121584
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121585
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121586
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121587
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121588
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121589
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121590
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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