Displaying 122491-122500 of 1611142 results.
ID:
122491
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
122492
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122493
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122494
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122495
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122496
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122497
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122498
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122499
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122500
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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