Displaying 121811-121820 of 1611142 results.
ID:
121811
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121812
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121813
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121814
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121815
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121816
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121817
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121818
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121819
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121820
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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