Displaying 122481-122490 of 1611142 results.
ID:
122481
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122482
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122483
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122484
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122485
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122486
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122487
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122488
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122489
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122490
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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