Displaying 121731-121740 of 1611142 results.
ID:
121731
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121732
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121733
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121734
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121735
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121736
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121737
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121738
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121739
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855626
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121740
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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