Displaying 121901-121910 of 1611142 results.
ID:
121901
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121902
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121903
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121904
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121905
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
850
Qty Limit Days:
30
ID:
121906
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121907
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121908
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121909
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121910
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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