Displaying 122231-122240 of 1611142 results.
ID:
122231
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122232
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122233
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122234
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122235
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122236
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122237
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122238
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122239
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122240
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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