Displaying 121791-121800 of 1611142 results.
ID:
121791
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121792
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121793
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121794
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121795
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121796
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
121797
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121798
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121799
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1797847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121800
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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