Displaying 121821-121830 of 1611142 results.
ID:
121821
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091650
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121822
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121823
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121824
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121825
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121826
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121827
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121828
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121829
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121830
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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