Displaying 121611-121620 of 1611142 results.
ID:
121611
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
121612
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
121613
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
121614
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
121615
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
121616
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
121617
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
121618
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
121619
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121620
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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