Displaying 122271-122280 of 1611142 results.
ID:
122271
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1488667
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122272
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1488671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122273
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1488675
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122274
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1488679
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122275
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1858833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122276
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
122277
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122278
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122279
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122280
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
242120
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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