Displaying 121621-121630 of 1611142 results.
ID:
121621
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121622
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121623
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121624
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121625
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121626
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121627
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121628
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121629
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121630
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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