Displaying 122001-122010 of 1611142 results.
ID:
122001
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122002
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122003
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122004
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
122005
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122006
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122007
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1092360
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122008
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122009
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122010
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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