Displaying 122141-122150 of 1611142 results.
ID:
122141
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122142
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197745
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122143
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197746
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122144
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122145
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122146
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122147
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122148
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
750
Qty Limit Days:
30
ID:
122149
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
122150
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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