Displaying 121691-121700 of 1611142 results.
ID:
121691
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
121692
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121693
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121694
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121695
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121696
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121697
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121698
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1721690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121699
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121700
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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