Displaying 122181-122190 of 1611142 results.
ID:
122181
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
122182
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
122183
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
122184
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122185
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122186
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122187
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122188
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122189
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122190
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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