Displaying 122331-122340 of 1611142 results.
ID:
122331
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122332
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122333
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122334
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122335
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122336
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122337
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
122338
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
122339
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122340
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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