Displaying 122201-122210 of 1611142 results.
ID:
122201
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122202
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122203
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122204
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
122205
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122206
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122207
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122208
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122209
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122210
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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