Displaying 122241-122250 of 1611142 results.
ID:
122241
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122242
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122243
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122244
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122245
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122246
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122247
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122248
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122249
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122250
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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