Displaying 122321-122330 of 1611142 results.
ID:
122321
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2049891
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122322
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
540617
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122323
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122324
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
213337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122325
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122326
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122327
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122328
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122329
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122330
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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