Displaying 122211-122220 of 1611142 results.
ID:
122211
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122212
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122213
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122214
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122215
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122216
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122217
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122218
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122219
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122220
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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