Displaying 122091-122100 of 1611142 results.
ID:
122091
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1373489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122092
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1373493
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122093
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1373498
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122094
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122095
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122096
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122097
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
902624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122098
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
902626
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122099
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122100
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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