Displaying 121921-121930 of 1611142 results.
ID:
121921
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121922
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121923
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121924
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121925
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121926
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121927
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121928
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121929
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831196
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121930
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831248
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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