Displaying 122151-122160 of 1611142 results.
ID:
122151
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
825134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122152
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122153
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122154
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122155
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
213439
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122156
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122157
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122158
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122159
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122160
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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