Displaying 121661-121670 of 1611142 results.
ID:
121661
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
854844
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121662
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871465
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121663
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121664
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871461
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121665
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121666
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871469
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121667
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1871467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121668
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121669
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121670
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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