Displaying 122021-122030 of 1611142 results.
ID:
122021
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122022
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
122023
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
122024
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
122025
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122026
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122027
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122028
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122029
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122030
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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