Displaying 122291-122300 of 1611142 results.
ID:
122291
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122292
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122293
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122294
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
896184
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122295
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
896209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122296
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
896228
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122297
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122298
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122299
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122300
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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