Displaying 121951-121960 of 1611142 results.
ID:
121951
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121952
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121953
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121954
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121955
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121956
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121957
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121958
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121959
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121960
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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