Displaying 122411-122420 of 1611142 results.
ID:
122411
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122412
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122413
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122414
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122415
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122416
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122417
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
833709
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122418
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
833711
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122419
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
833713
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122420
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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