Displaying 121961-121970 of 1611142 results.
ID:
121961
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121962
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121963
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121964
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121965
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121966
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121967
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121968
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121969
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121970
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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