Displaying 121741-121750 of 1611142 results.
ID:
121741
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121742
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121743
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121744
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121745
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121746
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121747
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121748
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121749
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
121750
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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