Displaying 122351-122360 of 1611142 results.
ID:
122351
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
122352
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122353
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122354
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122355
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122356
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
122357
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
122358
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1597620
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122359
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122360
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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