Displaying 122281-122290 of 1611142 results.
ID:
122281
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1652639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122282
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122283
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122284
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122285
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122286
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122287
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122288
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122289
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122290
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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