Displaying 122401-122410 of 1611142 results.
ID:
122401
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122402
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122403
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122404
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122405
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122406
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122407
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122408
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122409
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122410
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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