Displaying 122221-122230 of 1611142 results.
ID:
122221
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122222
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122223
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122224
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122225
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122226
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122227
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122228
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122229
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122230
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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