Displaying 122421-122430 of 1611142 results.
ID:
122421
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122422
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122423
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122424
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122425
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122426
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122427
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122428
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122429
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122430
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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