Displaying 121851-121860 of 1611142 results.
ID:
121851
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966235
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121852
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966237
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121853
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121854
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121855
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121856
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121857
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
121858
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
121859
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
121860
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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