Displaying 121911-121920 of 1611142 results.
ID:
121911
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121912
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121913
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121914
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121915
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121916
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121917
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121918
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121919
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
121920
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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