Displaying 122261-122270 of 1611142 results.
ID:
122261
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122262
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122263
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122264
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122265
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122266
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122267
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
122268
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
582595
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
210
Qty Limit Days:
30
ID:
122269
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861966
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122270
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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