Displaying 122311-122320 of 1611142 results.
ID:
122311
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
122312
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
122313
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122314
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122315
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122316
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122317
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122318
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122319
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122320
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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