Displaying 122171-122180 of 1611142 results.
ID:
122171
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122172
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1920
Qty Limit Days:
30
ID:
122173
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
122174
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122175
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122176
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122177
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122178
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
122179
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122180
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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